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DME Billing and RCM Video Lessons

Free lessons on starting, billing and growing a DME supplier in the United States, taught in Urdu and Hindi by NextRCM founder Usman Shamsi, with English captions. Every lesson has a short written summary, timestamped chapters and the full English transcript.

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The 2026 DME roadmap

1:08:04
Live masterclass

Start a DME Business in 2026: The Full Roadmap

Starting a DME business follows a fixed order, and billing comes last: form the company, get an EIN and a Type 2 NPI with the right taxonomy, obtain the state license and accreditation, secure the surety bond and liability insurance, and enroll in Medicare through PECOS with the CMS-855S before setting up documentation, claims and payer contracts. In this edited live masterclass, Usman Shamsi walks through each step with questions from aspiring DME owners, plus the compliance red lines and why inbound referrals beat outbound calling.

Summary, chapters and transcript
The course

The DME billing course

Seven lessons in order, from what DME is to filling in a claim form box by box.

37:08
DME course, lesson 1

What Is DME? Durable Medical Equipment Explained

What durable medical equipment is, how a DME order moves from the doctor to payment, and the documentation basics. Video lesson with chapters and transcript.

Summary, chapters and transcript
1:17:48
DME course, lesson 2

Who Pays for DME? Medicare, Medicaid and Commercial

How Original Medicare, Medicare Advantage, Medicaid and commercial plans pay for DME, and how to find the real payer. Video lesson with chapters and transcript.

Summary, chapters and transcript
1:05:27
DME course, lesson 3

How to Start a DME Company: 2026 Setup Guide

The NPI, accreditation and PTAN path to becoming a Medicare DME supplier, with the CMS-855S, site visit and surety bond. Video lesson with transcript.

Summary, chapters and transcript
1:10:37
DME course, lesson 4

DME HCPCS Codes, Modifiers and Billing Mistakes

How DME products turn into HCPCS Level II codes, who assigns them, and the modifiers that decide payment. Video lesson with chapters and transcript.

Summary, chapters and transcript
49:06
DME course, lesson 5

DME Eligibility and Benefits Verification

How to verify DME eligibility and benefits step by step: coverage, cost-sharing, network status and prior authorization. Video lesson with transcript.

Summary, chapters and transcript
33:45
DME course, lesson 6

Prior Authorization in DME, With 2026 Rules

How DME prior authorization works with the DME MAC, the UTN and the myCGS portal, plus CMS-0057-F and WISeR. Video lesson with chapters and transcript.

Summary, chapters and transcript
36:23
DME course, lesson 7

The CMS-1500 Claim Form, Box by Box

How to fill in the CMS-1500 claim form box by box, with seven worked Original Medicare examples, including a DME walker. Video lesson with transcript.

Summary, chapters and transcript
Beyond the course

Audits, compliance and growth

How Medicare reviews DME claims, how to grow orders the legal way, and the schemes to stay away from.

28:28
Audits

DME Audits Explained: SMRC, CERT, TPE, RAC and UPIC

Medicare DME claims can be reviewed by five contractor programs: CERT measures the national improper payment rate, TPE reviews and educates suppliers with high error rates, SMRC runs CMS-directed national studies, RACs recover improper payments for a contingency fee, and UPICs investigate fraud, waste and abuse. This lesson follows an SMRC review from the Additional Documentation Request to the MAC demand letter and the 120-day appeal window, then covers the seven documentation findings that repeat in DME audits and how to catch them at intake.

Summary, chapters and transcript
21:52
Growth

How to Get DME Orders Through Legal Inbound Marketing

DME suppliers can grow orders legally by earning referrals from clinics and other providers: reach the right person at each office, use educational material, fill orders fast and keep documentation audit-ready, instead of cold-calling patients or buying leads. In this conversation, Usman Shamsi and Ansar Ali share a step-by-step outreach process, from finding clinics and choosing the first products to follow-up etiquette, and the scams and fake-billing schemes to avoid.

Summary, chapters and transcript
13:56
Growth

Inbound vs Outbound DME Orders: Which Works?

Inbound referrals from doctors, home health agencies and nursing homes are the sustainable, compliant way to grow DME orders, while outbound orders built on cold-calling patients and bought data carry heavy compliance and audit risk. In this conversation, Usman Shamsi answers Ansar Ali's questions on why many suppliers still choose outbound, how to build referral relationships, when to outsource billing and coding, and how payer contracts and accreditation scope affect growth.

Summary, chapters and transcript
20:00
Compliance

How LLC Owners Get Trapped in DME Billing Scams

The trap starts with an offer of 20 to 30 percent equity for the use of someone's U.S. LLC; the operators then bill through it with cold-called patients, waived coinsurance, billing before delivery and fake chart notes, and when audits and recoupment letters arrive, the LLC owner is left with the debt and the credit damage. In this conversation, Wali Pakistani and Usman Shamsi go through real cases sent by viewers, the red flags to check before signing, a new lab-billing variant and the legal way to build a DME business.

Summary, chapters and transcript

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